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Coordinates office procedures with medical staff, and billing office to ensure smooth flow of information within departments. Participates in the completion of month end close checklist for all assigned items to ensure meeting or exceeding corporate timelines. Implements and complies with Company Reimbursement Policies and Procedures to maximize efficiency. Reviews all at
Posted 1 day ago
At Exact Sciences, we are cancer fighters. We are united by our mission to change lives by providing earlier, smarter answers. Through advances in cancer detection and treatment guidance, we will help eradicate the disease and the suffering it causes. A Screening Solutions Specialist (SSS) is a front line position in the fight against cancer. The SSS will drive product gr
Posted 1 day ago
Monthly monitoring of the clinical dashboard demonstrating improvement in statistical targets. Communicates with Leadership across the regions to develop educational programs that address the identified opportunities to improve clinical dashboard results Identifies strategic plans that will positively impact the clinical dashboard Through relationship development across t
Posted 5 days ago
Accuity
- Mount Laurel Township, NJ / Mount Laurel, NJ / Huntsville, AL / 47 more...
Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp
Posted 3 days ago
The Eligibility Services Department at Allied is responsible for the day to day operations of the following services Eligibility, Prescription Benefit Manager (PBM), Flexible Spending Account (FSA), and COBRA. The Eligibility Services Representative is responsible acting as the primary point of contact for these services. ESSENTIAL FUNCTIONS Acts as a primary point of con
Posted 3 days ago
Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres
Posted 6 days ago
Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres
Posted 6 days ago
Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. Utilizes expertise in clinical disease process and documentation, to assign Pres
Posted 6 days ago
Accuity
- Mount Laurel Township, NJ / Mount Laurel, NJ / Huntsville, AL / 47 more...
As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function
Posted 6 days ago
Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to acute rehab cases and inpatient OB and Newborn discharges. Complexity is measured by a Case Mix Index (CMI) and IP Coder Associate's typically see average CMI's of 0.5759 with the OB and Newborn population. This index score demonstrates lower patient complexity and acuity. Utilizes
Posted 6 days ago
Company DescriptionJob Description Junior Data Transformation Analyst Label Insight Product Seeking recent and upcoming May Grads Location US Remote must already be based in the US Reference ID REFID595641 About this job We are a unique team of subject matter experts committed to conducting and applying industry research. The transformation team is responsible for structur
Posted 6 days ago
Utilizes technical coding expertise to assign appropriate ICD 10 CM and ICD 10 PCS codes to inpatient acute care visit types up to 6 days length of stay across all Medical and Surgical service lines.. Complexity is measured by a Case Mix Index (CMI) and Coder I's typically see average CMI's of 1.4 with this mix of the acute care population. This index score demonstrates m
Posted 6 days ago
Accuity
- Mount Laurel Township, NJ / Huntsville, AL / Anchorage, AK / 46 more...
As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function
Posted 13 days ago
Northwestern Memorial Healthcare
- Milwaukee, WI / Chicago, IL / Des Moines, IA / 3 more...
Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and
Posted 7 days ago
Accuity
- Mount Laurel Township, NJ / Mount Laurel, NJ / Huntsville, AL / 47 more...
Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute
Posted 14 days ago
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